The agricultural sector features prominently in the rates of ATV injuries and fatalities amongst children in New Zealand. This research project assesses the nature and scope of ATV accidents to children on New Zealand farms and provides recommendations that attempt to meet the needs of all relevant stakeholders. In particular, we believe that the most effective means of reducing the rates of ATV injuries and fatalities amongst children involves a strategy which recognises the unique circumstances which give rise to practical impediments to safer farm workplace practices. We identified three distinct groups of children in the literature, each facing a different major risk category. Very young children were most at risk as passengers. As age increased the highest risks applied to bystanders, while older children and teenagers were more likely to be injured as drivers. The high risks to younger children as passengers and bystanders were indicative of underlying problems associated with childcare options – or, more particularly, the lack of childcare options. Accidents involving older children were associated more closely with practices around child supervision and involved aspects of farming culture, rather than practical barriers to safer practices.